Jacob Andrew Prussman
Jacob Andrew Prussman is a General Practice Dentistry in Honolulu, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.
- Licensed in
- HI
- In the registry since
- 2023
Practice location Address checks out
1857 Palolo AveHonolulu, HI 96816-2925
Phone: (516) 673-8571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DT-3247 (HI) |
|---|
Record details
| NPI number | 1679250575 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2023 |
| Last updated in NPPES | July 24, 2026 |
| Certification date | July 24, 2026 |
| Mailing address | 1857 Palolo Ave, Honolulu, HI 96816-2925 |
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